Longitudinal assessment of psychotherapeutic day hospital treatment for elderly patients with depression

Details

Serval ID
serval:BIB_61EE91C42CB3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Longitudinal assessment of psychotherapeutic day hospital treatment for elderly patients with depression
Journal
International Journal of Geriatric Psychiatry
Author(s)
Canuto Alessandra, Meiler-Mititelu Corina, Herrmann François R., Delaloye Christophe, Giannakopoulos Panteleimon, Weber Kerstin
ISSN
0885-6230
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
23
Number
9
Pages
949-956
Language
english
Notes
SAPHIRID:70507
Abstract
OBJECTIVE: Although previous studies suggested that psychiatric day hospital care is a valuable alternative to inpatient treatment, its effectiveness for elderly patients is disputed. Small number of cases, poor definition of the psychotherapeutic setting, and absence of systematic assessment at different time points may explain the observed discrepancies. We performed an assessment of a psychiatric day hospital treatment combining individual and group psychotherapy in a series of 122 elderly depressed outpatients. METHODS: The Geriatric Depression Scale, Short Form Survey, as well as a Therapeutic Community Assessment Scale and Group Evaluation Scale were repeated at admission, 3, 6, 12 months and discharge. The day hospital program was based on psychotherapeutic treatment combining individual and group settings. All patients presented with major depression or a depressive episode of bipolar disease. Variables included severity of depressive symptoms, quality of life, adhesion to therapeutic community treatment and progress in groups of psychotherapy, art-therapy, and psychomotricity. RESULTS: There was a significant reduction of depressive symptoms, and improvement in mental quality of life across all time points studied. Adhesion to therapeutic community increased from admission to discharge. This was also the case for the progress in group therapy for all three groups used, yet the evolution of this parameter at intermediate time points was highly variable. Neither demographic characteristics, nor pharmacological treatment or presence of stressful life events predicted the clinical improvement. CONCLUSIONS: Psychotherapeutic care program in day hospitals may improve clinical status and quality of life in elderly depressed patients.
Pubmed
Web of science
Create date
18/11/2008 11:25
Last modification date
20/08/2019 14:18
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